Individual
MR. AMY L BEACHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
501 EAST NAPLES ST, CHULA VISTA, CA 91911
(619) 421-6083
(619) 482-8284
Mailing address
4876 ACADEMY ST, SAN DIEGO, CA 92109
(619) 421-6083
(619) 482-8284
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT17560
CA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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